[Internal carotid bilateral occlusion, meningovascular syphilis and AIDS: case report]. / Oclusão bilateral das artérias carótidas internas, sífilis meningovascular e SIDA. Relato de caso.

We report a case of bilateral occlusion of internal carotid arteries, presenting with right hemiparesis and hypoesthesia, associated to meningovascular syphilis in a patient with AIDS. CT scan showed few small hypodense lesions, with a predominance on the left side, and the angiography showed bilateral occlusion of the carotid arteries. The association between syphilis and AIDS is not unusual, but the paucity of symptoms, probably due to a slow and gradual occlusion is not commonly reported.